Learn how to cut prescription costs and prepare for steep health insurance hikes if ACA tax credits expire. How can you make prescription drugs more affordable? What can you do if subsidies in the Affordable Care Act expire and health insurance costs spike? Hosts Sean Pyles and Elizabeth Ayoola discuss rising prescription costs and looming changes to health insurance premiums to help you find ways to save and protect your budget. Joined by Dan Weissmann, host of the podcast An Arm and a Leg, they begin with a discussion of the structural problems in the U.S. prescription drug system, with tips on comparing prices across pharmacies, using discount programs like GoodRx, and checking for manufacturer coupons. Then, personal finance Nerd Kate Ashford joins Sean and Elizabeth to discuss how ACA premium tax credit changes could impact your wallet. They explore strategies such as comparing marketplace plans carefully, shifting to different tiers of coverage, considering employer-based insurance, and preparing for open enrollment. They also highlight the risks of going uninsured, ways to use preventive care benefits to save money, and why America’s healthcare system ended up so tied to employment. Want us to review your budget? Fill out this form — completely anonymously if you want — and we might feature your budget in a future segment! https://docs.google.com/forms/d/e/1FAIpQLScK53yAufsc4v5UpghhVfxtk2MoyooHzlSIRBnRxUPl3hKBig/viewform?usp=header In their conversation, the Nerds discuss: prescription drug costs, how to save on prescriptions, GoodRx, Mark Cuban Cost Plus Drugs, pharmacy benefit managers, drug manufacturer coupons, ACA subsidies, ACA premium tax credits, Affordable Care Act healthcare costs, ACA marketplace plans, health insurance open enrollment, formulary, health insurance tiers, high deductible health plan, bronze vs silver plan ACA, health savings account, ACA premium increases, ACA subsidies expiring, ACA tax credits 2025, how to compare health insurance plans, employer sponsored health insurance, self-employed health insurance options, preventive care coverage, avoiding medical debt, risks of going uninsured, Vermont ACA costs, ACA premium increase by state, ACA cost saving strategies, how to check if prescriptions are covered, negotiating prescription costs, medical bankruptcy risk, Medicare and Medicaid differences, US vs UK healthcare costs, ACA income thresholds, ACA marketplace eligibility, losing ACA subsidies impact, choosing an ACA plan, and ACA open enrollment dates. To send the Nerds your money questions, call or text the Nerd hotline at 901-730-6373 or email podcast@nerdwallet.com. Like what you hear? Please leave us a review and tell a friend. Learn more about your ad choices. Visit megaphone.fm/adchoices